JURBY PLOP ENDURO MEMBERSHIP 2024

JURBY PLOP ENDURO MEMBERSHIP 2024

To ride in the JURBY EVENT you must either have a full 2024 Plop membership or our special single event JURBY MEMBERSHIP. Simply complete this form and register.
RIDER INFORMATION
Please provide all details requested below
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City

Post Code
Date of Birth*

DayMonthYear
Date
Mobile Phone*

07777 123456
Email*
example@example.com
EMERGENCY CONTACT DETAILS
Please provide emergency contact information.
Name (EC)*

First NameLast Name
Contact Relationship*
Mobile Phone (EC)*
YOUR LICENSE ID CHECK

Please provide your license information - You must hold either a full motorcycle license, ACU license or equivalent. All circuits require us to comply with legal requirements to ascertain that all times riders on track meet a certain level of proficiency.
ACU or equivalentFull Motorcycle License
Input Number From License Held*
TAKE PHOTO OF THE REAR OF YOUR LICENSE*

Cancelof
TAKE PHOTO OF THE FRONT OF YOUR LICENSE*

Please ensure it shows your photo.
Cancelof
MEMBERSHIP RULES

1. I understand that as a Plop Enduro membership card holder, I must adhere to the technical regulations provided by the Plop Enduro organisers.

2. I agree to conduct myself in a reasonable manner both on and off track and not bring the Plop Enduro name into disrepute.

3. I acknowledge that the event organisers’ decisions are full and final.

4. I understand that my membership card may be revoked at any time if I breach any of the Plop Enduro membership etiquette.

5. I understand that if I participate in any of the events, it is at my own risk as I entered voluntarily.

6. Membership is subject to approval.

7. Membership runs annually between Jan 1st – Dec 31st
DECLARATION

I HAVE READ THESE RULES AND ACCEPT BY SIGNING THE BOX BELOW AND BECOMING A MEMBER; I FULLY ACCEPT THESE CONDITIONS *
PLEASE TAKE A HEAD & SHOULDERS PHOTO OF YOURSELF AND UPLOAD HERE.*

UPLOAD FOR ID CHECK
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PLEASE SIGN IN THE BOX BELOW *

Clear

Check-Out*

Jurby 2 Day Event Membership

Jurby 2024 Membership

£10.00

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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